Illustrated Neuropathologic Diagnosis of Alzheimer’s Disease

Author:

Doher Nicholas1,Davoudi Vahid2,Magaki Shino3,Townley Ryan A.45ORCID,Haeri Mohammad25ORCID,Vinters Harry V.367

Affiliation:

1. Department of Neurology, University of Florida, Gainesville, FL 32611, USA

2. Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, KS 66160, USA

3. Department of Pathology and Laboratory Medicine, David Geffen UCLA School of Medicine, Los Angeles, CA 90095, USA

4. Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA

5. The University of Kansas Alzheimer’s Disease Research Center, University of Kansas Medical Center, Fairway City, KS 66205, USA

6. Department of Neurology, David Geffen UCLA School of Medicine, Los Angeles, CA 90095, USA

7. Brain Research Institute, David Geffen UCLA School of Medicine, Los Angeles, CA 90095, USA

Abstract

As of 2022, the prevalence of Alzheimer’s disease (AD) among individuals aged 65 and older is estimated to be 6.2 million in the United States. This figure is predicted to grow to 13.8 million by 2060. An accurate assessment of neuropathologic changes represents a critical step in understanding the underlying mechanisms in AD. The current method for assessing postmortem Alzheimer’s disease neuropathologic change follows version 11 of the National Alzheimer’s Coordinating Center (NACC) coding guidebook. Ambiguity regarding steps in the ABC scoring method can lead to increased time or inaccuracy in staging AD. We present a concise overview of how this postmortem diagnosis is made and relate it to the evolving understanding of antemortem AD biomarkers.

Funder

University of Kansas

NIH/NIA

Publisher

MDPI AG

Subject

Neurology (clinical)

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